摘要
目的:探讨腹腔镜子宫动脉阻断法治疗输卵管间质部妊娠的临床价值。方法:回顾分析为9例包块型输卵管间质部妊娠患者行腹腔镜手术的临床资料。术中先结扎患侧子宫动脉,再切除输卵管。结果:9例均成功完成腹腔镜手术,无一例中转开腹;手术时间平均(55±16)min,术中出血量平均(80.6±15.8)ml。术后3 d血β-HCG较术前下降>50%。7例患者随访2～12个月,子宫、卵巢均为正常大小。结论:腹腔镜子宫动脉阻断法治疗输卵管间质部妊娠安全、疗效肯定,具有操作简单、患者创伤小、出血少、康复快等优点,不影响预后,是治疗输卵管间质部妊娠的有效方法,值得推广应用。
Objective：To explore the clinical value of laparoscopic uterine artery block in the treatment of tubal interstitial pregnancy. Methods：Nine cases of mass type interstitial tubal pregnancy were treated by laparoscopic operation. First the uterine artery of the affected side was ligated, then the uterine tube was cut off. Results ： The laparoscopic resection of the affected uterine tube was carried out in all the nine cases. None of them experienced the conversion to open surgery and the resection of the uterus. The average time of the operation was （55 ＋ 16） rain, the average intraoperative blood loss was （80.6 -＋ 15.8） ml. The J3-HCG 3 days after the op- eration decreased more than 50 percent. Seven eases of the patients were followed up for 2 to 12 months ,the size of the uterus and the ovary were normal. Conclnsions：The laparoscopic uterine artery block and excision of affected fallopian tube is an effective method to treat the tubal interstitial pregnancy.
出处
《腹腔镜外科杂志》
2013年第2期143-145,共3页
Journal of Laparoscopic Surgery
